Patient with Renal Hypouricemia and Exercise Induced Acute Renal Failure.
- Author:
Sung Chul CHOI
1
;
Yoon Goo KIM
;
Jung Ho DO
;
Jung Ah KIM
;
Young Ki LEE
;
Hyun Hee LEE
;
Su Jin YOON
;
Woo Seong HUH
;
Dae Joong KIM
;
Ha Young OH
;
Bo Hyun KIM
Author Information
1. Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. ygkim@smc.samsung.co.kr
- Publication Type:Case Report
- Keywords:
Hypouricemia;
Exercise;
Acute renal failure
- MeSH:
Acute Kidney Injury*;
Humans;
Male;
Oxygen;
Reference Values;
Reperfusion;
Uric Acid;
Vasoconstriction
- From:Korean Journal of Nephrology
2002;21(2):312-316
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We have described a male patient with a episode of acute renal failure after strenuous exercise. He was found to have low serum uric acid(0.6 mg/dL, after recovery) and normal 24 hour urinary excretion in the steady state. The possibility of other diseases that cause hypouricemia could be excluded, acute renal failure associated with idiopathic renal hypouricemia was diagnosed in this case. A renal computed tomography showed the delayed wedge shaped contrast enhancement, these findings suggested that the cause of acute renal failure could be renal vasoconstriction rather than obstruction by uric acid crystals. Hypouricemia appear to play a crucial role in this reperfusion oxygen free radical induced acute renal failure. We have suggested that the renal hypouricemia should be suspected in the case of acute renal failure associated with exercise when the patient's uric acid level was within or slight alone normal range at the time of acute renal failure.
